| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,436 |
3,283 |
$223K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,065 |
2,930 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,099 |
1,057 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
770 |
715 |
$50K |
| V2020 |
Frames, purchases |
3,530 |
3,372 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,317 |
2,215 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
402 |
379 |
$6K |
| 92015 |
Determination of refractive state |
166 |
162 |
$139.87 |